Individual
DR. ROBERT MARTIN BREEDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1515 N MAIN ST, MONTICELLO, KY 42633-2000
(606) 348-8000
(606) 348-8000
Mailing address
80 CRAWFORD ST, MONTICELLO, KY 42633-1595
(606) 343-5000
(606) 348-8000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
KY1227
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000016087
ANTHEM
KY
01
—
1165394
CHA
KY
05
—
77012276
—
KY
Enumeration date
10/31/2006
Last updated
01/23/2020
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